C80

RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE

Grade C 80/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

144

Ownership

For profit - Limited Liability company

Total Fines

$3,145

Last Survey

N/A

400 BOLTON STREET, MARLBOROUGH, MA 01752
5084816123

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.58h
LPN
0.98h
CNA
2.10h
Total
3.66h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

VK HEALTH FACILITIES LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2013

100%

IDUMWONYI, EGHOSA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2024

SHALLER, CAITLIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2023

BOKOW, BARRY

IndividualCORPORATE DIRECTORSince Jan 2013

GILMARTIN, THOMAS

IndividualCORPORATE DIRECTORSince Jan 2013

OSTREICHER, MARVIN

IndividualCORPORATE DIRECTORSince Jan 2013

Penalties & Fines (1)

$3,145total fines
DateTypeDescriptionAmount
Jul 24, 2023Fine$3,145

Health Inspection Deficiencies (40)

October 15, 2024Health4 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Nov 8, 2024
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Nov 8, 2024
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Nov 8, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Nov 8, 2024
October 2, 2024Health13 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Nov 4, 2024
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Nov 4, 2024
0646BNo harm, Pattern

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 4, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 4, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 4, 2024
0660DMinimal harm, Isolated

Plan the resident's discharge to meet the resident's goals and needs.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 4, 2024
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Nov 4, 2024
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Nov 4, 2024
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Nov 4, 2024
0742DMinimal harm, Isolated

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Quality of Life and Care Deficiencies

Corrected Nov 4, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Nov 4, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 4, 2024
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Nov 4, 2024
July 11, 2023Health3 deficiencies
0761EMinimal harm, Pattern

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Aug 2, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 2, 2023
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Aug 2, 2023
January 4, 2023Health4 deficiencies
0886DMinimal harm, Isolated

Perform COVID19 testing on residents and staff.

Infection Control Deficiencies

Corrected Jan 19, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 19, 2023
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Jan 19, 2023
0885EMinimal harm, Pattern

Report COVID19 data to residents and families.

Infection Control Deficiencies

Corrected Jan 19, 2023
October 26, 2021Health16 deficiencies1 severe
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Dec 15, 2021
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Dec 15, 2021
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 15, 2021
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Dec 15, 2021
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Dec 15, 2021
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Dec 15, 2021
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Dec 15, 2021
0604DMinimal harm, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 15, 2021
0700DMinimal harm, Isolated

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Quality of Life and Care Deficiencies

Corrected Dec 15, 2021
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Dec 15, 2021
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Dec 15, 2021
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 15, 2021
0882DMinimal harm, Isolated

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies

Corrected Dec 15, 2021
0883EMinimal harm, Pattern

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Dec 15, 2021
0886EMinimal harm, Pattern

Perform COVID19 testing on residents and staff.

Infection Control Deficiencies

Corrected Dec 15, 2021
0909EMinimal harm, Pattern

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Environmental Deficiencies

Corrected Dec 15, 2021

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Frequently Asked Questions

What is the CareGrader rating for RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE?

RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE in MARLBOROUGH, Massachusetts has a CareGrader grade of C (Average), with a composite score of 79.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE?

RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE have?

RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE has 40 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE been fined?

Yes. RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE has $3,145 in total fines from CMS enforcement actions across 1 penalty.

How many beds does RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE have?

RESERVOIR CENTER FOR HEALTH & REHABILITATION, THE has 144 certified beds with approximately 134 current residents (93% occupancy). The facility is located at 400 BOLTON STREET, MARLBOROUGH, Massachusetts 01752. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.